I had my Mirena inserted in April 08 with a lot of effort! First the gyno could not insert the mirena......he tired a couple times and it just would not insert. I was in extreme pain. So a week later i was booked in to be put to sleep so it could be inserted....successfully. Obviously i could not feel anything this time. I was told that my cervix was closed and that is why it was a lot of trouble. Since the insertion i have had acne on the T Zone (i have never had acne before), and i have gained 4 kg (i work out 4 times a week and have always weighed 56 kg). I have not had a period which is great, and it has not affected my sex drive. But the acne and the weight gain do greatly concern me. I am thinking of having it taken out. Hmmm....what to do??